Slipped capital femoral epiphysis is a medical term referring to a fracture through the growth SCFE is a Salter-Harris type 1 fracture through the proximal femoral physis. Stress around the hip causes a shear force to be applied at the growth. Slipped upper femoral epiphysis (SUFE), also known as a slipped capital femoral common condition affecting the physis of the proximal femur in adolescents. La epifisiólisis femoral proximal (EFP) consiste en un deslizamiento de la epífisis femoral proximal respecto al cuello.
|Published (Last):||1 February 2015|
|PDF File Size:||18.2 Mb|
|ePub File Size:||4.1 Mb|
|Price:||Free* [*Free Regsitration Required]|
Epifisiólisis femoral proximal
Clinical Orthopaedics and Related Research. The results of downgrading moderate and severe slipped capital femoral epiphysis by an early Imhauser femur osteotomy. About Blog Go ad-free. J Bone Joint Surg Br ; Slipped capital femoral epiphysis in southern Sweden. Open reduction and pinning with multiple cannulated screws in an epofisiolisis triangle configuration.
At 12 year, 11 months of age, after a diagnosis of bilateral slipped capital femoral epiphysis was made.
Retrieved 1 December Case 2 Case 2. A number of classifications have been proposed, with the Aitken four class A-D and modified by Amstutz being the most commonly used; see classification of proximal focal femoral deficiency. Epifisjolisis Stack – 0 images remaining. Running, and other strenuous activity on legs, will also cause the hips to abnormally move due to the condition and can potentially worsen the pain.
Drehmann sign and femoro-acetabula impingement in SCFE.
He has an antalgic gait and epifosiolisis external rotation of his foot progression angle compared to the contralateral side. Continuing navigation will be considered as acceptance of this use. More aggressive surgical techniques such as neck or transtrochanteric osteotomies do not seem to excessively modify the poor results of epiphysiolysis with severe uncorrected displacement.
What is the most appropriate treatment? It is actually the metaphysis neck part of a bone which slips in an anterior direction with external rotation. Slipped capital femoral epiphysis SCFE is a hip condition that occurs in teens and pre-teens who are still growing.
Marrow edema is non-specific, and while it may indicate early bone changes in SUFE, there are numerous other causes, e. From Wikipedia, the free encyclopedia. Arch Biochem Biophys ; Intertrochanteric versus subcapital osteotomy in slipped capital femoral epiphysis.
Slipped capital femoral epiphysis associated with endocrine disorders.
Slipped capital femoral epiphysis – Wikipedia
Grading System — based on percentage of slippage. A SCFE is an orthopaedic emergency, as further slippage may result in occlusion of the blood supply and avascular necrosis risk of 25 percent.
Clin Orthop ; This method does not permit definite classification during the first year of life. Femoral morphology due to impingement influences the range of motion in slipped capital femoral epiphysis. Case 13 Case A study of 68 cases in the eastern half area of Japan. Testis ultrasound showed two scrotal testes of normal prepubertal size, and normal epididymis. Please login to add comment. Treatment of unstable slipped upper femoral epiphysis has progressively proxikal exclusively towards surgical pinning.
L7 – years in practice. Because of his obesity, he was then referrer to the Nutrition and to the Endocrinology Services of Hospital de Pediatria Garrahan. This is a year-old boy, born at term with adequate weight for gestational age. A dressing covers the wound.
Proximal focal femoral deficiency | Radiology Reference Article |
J Child Orthop ;3: Factors influencing the development of chondrolysis in children treated for slipped capital femoral epiphysis. In 65 percent of cases of SCFE, the person is over the 95th percentile for weight.
Which of the following osteotomies is MOST appropriate? Arch Orthop Trauma Surg ; In most cases treatment consisted of in situ reduction and osteosynthesis with K-wires, and cannulated or cancellous screws. SCFEs occurs slightly more commonly in adolescent malesespecially young black males, although it also affects females. Synonyms or Alternate Spellings: Currently, osteosynthesis using a single cannulated screw is the preferred procedure.
As the physis becomes more oblique, shear forces across the growth plate increase and result in an increased risk of fracture and resultant slippage. The diagnosis requires x-rays of the pelvis, with anteriorposterior AP and frog-leg lateral views.